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ESTRELLA CARE AND REHABILITATION CENTER - AVONDALE, AZ

 



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Address
350 EAST LA CANADA
AVONDALE, AZ, 85323
Phone (make sure to verify first before calling): (623) 932-2282

Number of Certified Beds: 161
Total Number of Residents: 128
Percent of Occupied Beds: 80%
Sprinkler Status: Partially Sprinklered
Program Participation: Medicare and Medicaid
Type of Ownership: For profit - Corporation
Located Within a Hospital?: No
Multi Nursing Home Ownership?: Yes
Resident and Family Councils: Resident
Continuing Care Retirement Community?: No
Quality Indicator Survey?: Yes
Special Focus Facility?: No
Type: Skilled Nursing Facilities


Overall Star Rating: 2 Stars
Health Inspections Star Rating: 2 Stars
Nurse Staffing Star Rating: 1 Star
Quality Measures Star Rating: 5 Stars
RN Only Star Rating: 2 Stars

Employment Full-Time Equivalent

Administrative Staff - Full Time: 17.14
Administrative Staff - Part Time: 0.80
Certified Nurse Aides - Full Time: 43.93
Certified Nurse Aides - Part Time: 9.64
Dietitians - Under Contract: 0.23
Food Service Personnel - Full Time: 13.47
Food Service Personnel - Part Time: 1.71
Housekeeping Personnel - Full Time: 10.14
Licensed Practical/ Vocational Nurses - Full Time: 19.43
Licensed Practical/ Vocational Nurses - Part Time: 4.56
Medical Directors - Under Contract: 0.13
Mental Health Services Personnel - Under Contract: 0.11
Nurses With Administrative Duties - Full Time: 3.43
Physical Therapists - Under Contract: 1.97
Registered Nurses - Full Time: 2.66
Rn Director Of Nursing - Full Time: 1.14
Activities Professionals - Full Time: 1.14
Activities Professionals - Part Time: 0.66
Occupational Therapists - Under Contract: 1.03
Pharmacists - Under Contract: 0.23
Speech Pathologists - Under Contract: 0.17
Physician Extenders - Under Contract: 0.71
Registered Nurses - Under Contract: 0.59
Registered Nurses - Part Time: 2.39
Occupational Therapy Assistants - Under Contract: 0.07
Housekeeping Personnel - Part Time: 0.57
Licensed Practical/ Vocational Nurses - Under Contract: 4.01
Occupational Therapy Aides - Under Contract: 0.66
Certified Nurse Aides - Under Contract: 0.54

Provided Services

  • Activities Services Are Provided Onsite To Residents
  • Clinical Laboratory Services Are Provided Onsite To Residents
  • Dental Services Are Provided Onsite To Residents
  • Diagnostic Xray Services Are Provided Onsite To Residents
  • Dietary Services Are Provided Onsite To Residents
  • Housekeeping Services Are Provided Onsite To Residents
  • Mental Health Services Are Provided Onsite To Residents
  • Nursing Services Are Provided Onsite To Residents
  • Occupational Therapy Services Are Provided Onsite To Residents
  • Pharmacy Services Are Provided Onsite To Residents
  • Physical Therapy Services Are Provided Onsite To Residents
  • Physician Extender Services Are Provided Onsite To Residents
  • Physician Services Are Provided Onsite To Residents
  • Podiatry Services Are Provided Onsite To Residents
  • Social Work Services Are Provided Onsite To Residents
  • Speech/Language Pathology Services Are Provided Onsite To Residents
  • Therapeutic Recreation Specialist Services Are Provided Onsite To Residents

Quality Measures

Percent of long-stay residents whose need for help with daily activities has increased
This Nursing Home:

10.8%
State:

15.4%
Percent of long-stay high-risk residents with pressure ulcers
Here:

2.5%
Arizona:

6.8%
Percent of long-stay residents who lose too much weight
Here:

2.8%
State:

7.1%
Percent of long-stay low-risk residents who lose control of their bowels or bladder
Here:

58.0%
Arizona:

55.2%
Percent of long-stay residents who have had a catheter inserted and left in their bladder
Here:

4.6%
State:

4.8%
Percent of long-stay residents with a urinary tract infection
This Nursing Home:

0.9%
Arizona:

6.8%
Percent of long-stay residents who were physically restrained
This Nursing Home:

0.9%
Arizona:

1.0%
Percent of long-stay residents experiencing one or more falls with major injury
This Nursing Home:

2.8%
Arizona:

3.0%
Percent of long-stay residents assessed and given, appropriately, the seasonal influenza vaccine
This Nursing Home:

100.0%
State:

96.5%
Percent of long-stay residents assessed and given, appropriately, the pneumococcal vaccine
This Nursing Home:

100.0%
State:

96.0%
Percent of short-stay residents who self-report moderate to severe pain
Here:

1.3%
Arizona:

27.8%
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
This Nursing Home:

97.0%
State:

90.1%
Percent of short-stay residents assessed and given, appropriately, the pneumococcal vaccine
Here:

85.3%
State:

89.0%
Percent of long-stay residents who received an antipsychotic medication
Here:

25.5%
State:

23.8%

Staff Information

Number of Registered Nurses Hours Per Resident Per Day
Here:

0.460
State:

0.833
Number of Licensed Practical and Licensed Vocational Nurses Hours Per Resident Per Day
Here:

0.780
Arizona:

0.897
Total Number of Licensed Staff Hours Per Resident Per Day
This Nursing Home:

1.230
State:

1.725
Number of ,Certified Nurse Assistant Hours Per Resident Per Day
This Nursing Home:

0.020
State:

0.113
Number Therapy Hours Per Resident Per Day
This Nursing Home:

0.020
State:

0.118

Complaint Deficiency

Approved construction type or materials: Few (Immediate jeopardy to resident health or safety)

Properly installed electrical wiring and equipment: Few (Minimal harm or potential for actual harm)

Exits that are accessible at all times: Few (Immediate jeopardy to resident health or safety)

Hire sufficient dietary support personnel: Some (Minimal harm or potential for actual harm)

Provide routine and 24-hour emergency dental care for each resident: Some (Minimal harm or potential for actual harm)

Provide proof that all residents' personal money which is deposited with the nursing home, is secure: Few (Minimal harm or potential for actual harm)

Make sure menus meet the resident's nutritional needs and that there is a prepared menu by which nutritious meals have been planned for the resident and followed: Few (Minimal harm or potential for actual harm)

Review or revise the resident's care plan after any major change in a resident's physical or mental health: Few (Minimal harm or potential for actual harm)

Follow policies and procedures to convey the resident's personal funds to the appropriate party responsible after the resident's death: Few (Minimal harm or potential for actual harm)

Restrictions on the use of portable space heaters: Few (Minimal harm or potential for actual harm)

Hire sufficient dietary support personnel: Some (Minimal harm or potential for actual harm)

Write and use policies that forbid mistreatment, neglect and abuse of residents and theft of residents' property: Few (Immediate jeopardy to resident health or safety)

Reasonably accommodate the needs and preferences of each resident: Few (Minimal harm or potential for actual harm)

Make sure each resident receives an accurate assessment by a qualified health professional: Some (Potential for minimal harm)

Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured: Some (Minimal harm or potential for actual harm)

Make sure services provided by the nursing facility meet professional standards of quality: Few (Minimal harm or potential for actual harm)

Provide necessary care and services to maintain the highest well being of each resident : Few (Minimal harm or potential for actual harm)

Make sure that the nursing home area is free from accident hazards and risks and provides supervision to prevent avoidable accidents: Few (Immediate jeopardy to resident health or safety)

1) Make sure that each resident's drug regimen is free from unnecessary drugs; 2) Each resident's entire drug/medication is managed and monitored to achieve highest well being: Some (Minimal harm or potential for actual harm)

Provide a tasty and well-balanced diet that meets the nutritional needs of each resident: Some (Minimal harm or potential for actual harm)

1) Provide 3 meals at regular times; 2) serve breakfast within 14 hours after dinner; or 3) offer a snack at bedtime each day: Many (Minimal harm or potential for actual harm)

Have a program that investigates, controls and keeps infection from spreading: Few (Minimal harm or potential for actual harm)

Be administered in an acceptable way that maintains the well-being of each resident : Few (Minimal harm or potential for actual harm)

Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action: Some (Minimal harm or potential for actual harm)

Smoke barrier doors that can resist smoke for at least 20 minutes: Few (Minimal harm or potential for actual harm)

Construction that can resist fire for one hour or an approved fire extinguishing system: Few (Minimal harm or potential for actual harm)

1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents: Few (Minimal harm or potential for actual harm)

Allow the resident the right to participate in the planning or revision of the resident's care plan: Few (Minimal harm or potential for actual harm)

Provide necessary care and services to maintain the highest well being of each resident : Few (Minimal harm or potential for actual harm)

Assist those residents who need total help with eating/drinking, grooming and personal and oral hygiene: Few (Minimal harm or potential for actual harm)

1) Make sure that each resident's drug regimen is free from unnecessary drugs; 2) Each resident's entire drug/medication is managed and monitored to achieve highest well being: Some (Minimal harm or potential for actual harm)

Try to resolve each resident's complaints quickly: Few (Minimal harm or potential for actual harm)

Keep each resident free from physical restraints, unless needed for medical treatment: Few (Minimal harm or potential for actual harm)

Provide care for residents in a way that keeps or builds each resident's dignity and respect of individuality: Few (Minimal harm or potential for actual harm)

Reasonably accommodate the needs and preferences of each resident: Few (Minimal harm or potential for actual harm)

Give notice to the resident before a room or roommate change: Some (Potential for minimal harm)

Make sure that the nursing home area is free from accident hazards and risks and provides supervision to prevent avoidable accidents: Few (Minimal harm or potential for actual harm)

1) Make sure that each resident's drug regimen is free from unnecessary drugs; 2) Each resident's entire drug/medication is managed and monitored to achieve highest well being: Few (Minimal harm or potential for actual harm)

Safely provide drugs and other similar products available, which are needed every day and in emergencies, by a licensed pharmacist: Few (Minimal harm or potential for actual harm)

Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards: Some (Minimal harm or potential for actual harm)

Have a program that investigates, controls and keeps infection from spreading: Few (Minimal harm or potential for actual harm)

Make sure that a working call system is available in each resident's room or bathroom and bathing area: Few (Minimal harm or potential for actual harm)

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